Wyndham City



Owner’s Details: Mr/Mrs/Ms/MissGiven Name:Surname:Owner’s Date of birth:(Owner must be over the age of 18)Address:Suburb:Postcode:Email Address: ____________________________________________________________________Telephone: (home)(work)(mobile) Owner’s Previous Address (if applicable):Suburb:Postcode:Pet’s Address: Address where pet(s) is/are to be kept: (if different from above)Address type where the pet(s) is/are to be kept at: (tick one box) Residential Property Commercial Property (Guard Dog – see reverse)Pet(s) Details: Tick One Box OnlyPet 1Pet 2Pet 3TypeDog Cat Dog Cat Dog Cat Restricted* / Menacing / DangerousYes No Yes No Yes No Sex Female Male Female Male Female Male Desexed Copy of Certificate RequiredYes No Yes No Yes No BreedColour/MarksPet’s NameDate of Birth of PetMicrochip Number Number MUST be providedOffice Use:Tag NumberAnimal Identification (Proclaim No)*Restricted breed - Pit Bull Terrier, American Pitt Bull Terrier, Fila Brasilero, Dogo Argentino, Japanese Tosa, Perro de Presa Canario or Presa Canerio.Pensioner: Centrelink Pensioner Concession Card (Blue) Dept of Veterans Affairs Repatriation Health Card (Gold)Card Number:__ __ __ __ __ __ __ __ __ __Expiry Date:Declaration:By lodging this application to register, I declare that all information provided is, to the best of my knowledge, true and correct. If I am registering a dog I declare that it has been correctly indicated on this application as to whether they are, or are not, a restricted breed or has been declared menacing or dangerous. I understand it is an offence to provide false information and penalties apply.I understand that this registration is valid until 10 April 2019, at which time I am required to pay the registration renewal provided by Council. Name: Signed:Date:Registration Renewal Fees:Pet Registration Renewals are sent to owners at the beginning of March each year. Pet owners must ensure that payment is made to Council before 10 April. Below are current pet registration fees valid until 10 April 2019.Microchipped DogsRegular FeePensioner FeeDesexed Dog$ 51.00$ 23.50Non Desexed- Members of applicable organisations(Proof Required)- Working Dog- Over 10 Years Old- Detrimental to Health - Obedience trained$ 51.00$ 23.50Non Desexed Dog$157.00$ 56.00Dangerous / Menacing / Restricted Breed Dog / Guard Dog$226.00$226.00Custom/Guide Puppy Training & Bona Fide Guide DogFREEFREEMicrochipped CatsRegular FeePensioner FeeDesexed Cat$ 22.50$ 11.00Non Desexed - Members of applicable organisations(Proof Required)- Over 10 Years Old- Detrimental to Health$ 38.00$ 19.00A State Government levy from the fees collected ($2.50 for each cat registration and $3.50 for each dog registration) is used to fund responsible pet ownership programs.Evidence of Microchipping and Desexing (one discount per registration is applicable)MicrochippingMicrochip number must be provided. Desexed cat or dogA copy of the desexing certificate from a qualified Vet.Non Desexed cat or dogCATS: Desexing is mandatory for cats being registered in Wyndham. The exemptions to this are if:Your cat is over 10 years' old; orThe owner is registered as a domestic animal business (evidence must be provided); orIt is detrimental to the cat’s health (evidence such as written advice from a qualified Vet must be provided); orThe owner is member of, and the cat is registered, with one of the following organisations (A copy of a document or letter confirming the owner’s current membership and animal’s registration must be provided) - Australian National Cats Inc., Cats Victoria Inc., Feline Control Council (Victoria) Inc. or The Governing Council of the Cat Fancy Australia and Victoria Inc.DOGS: Desexing is not mandatory for dogs being registered in Wyndham, however you will not receive the discount for having a desexed dog unless:You have a working dog, kept for working stock (evidence must be provided on letterhead by the proprietor of the business/stock or some proof that the dog is used daily for working stock or be a current financial member of Dogs Victoria where a current copy of your membership card must be provided); orYour dog is over 10 years old; orThe owner is registered as a domestic animal business (evidence must be provided); orIt is detrimental to the dog’s health (evidence such as written advice from a qualified Vet must be provided); orThe owner is member of, and the dog is registered with, one of the following organisations (evidence must be provided, for example, a copy of your current membership card) - Australia Association of Professional Dog Trainers Inc., The Gentle Dog Trainers Association Inc., Dogs Victoria or Four Paws K9 Training.Lifetime Registration TagAs part of this application you’ll receive a lifetime registration tag which must be worn by your pet. The tag will be mailed to you within 7 days of your registration being received.Guard Dogs on Commercial PropertyA dog that is kept for the purpose of guarding non-residential premises is automatically a dangerous dog under the Domestic Animals Act 1994. Once a dog is deemed a dangerous dog it cannot be revoked - the dog is a dangerous dog for life, even if it ceases to be used for the purpose of guarding non-residential premises. Change of DetailsIn the future, if you change any of your contact details, address or no longer have your pet, please advise Council in writing so that we can amend our records. Email mail@wyndham..au or call 03 9742 0777.Privacy StatementYour personal information is being collected by Council for Pet Registration and in in accordance with Section 18 of the Domestic Animals Act 1994. Your information will be stored in Council’s Customer Database and used to identify you when communicating with Council and for Council to deliver services and information to you. For further information on how your personal information is handled, visit Council’s Privacy Policy on Council’s website. ................
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